Individual
MR. NIKITA ZASLAVSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
214 W 116TH ST, NEW YORK, NY 10026-2494
(212) 602-1400
Mailing address
214 W 116TH ST, NEW YORK, NY 10026-2494
(212) 602-1400
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19389
NY
Other
Enumeration date
05/17/2018
Last updated
05/17/2018
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